Organization Name: | THE PARK ON 7TH AVENUE |
NPI Number: | 1285837047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRY JUNE GRAF (OWNER MANAGER) |
Mailing Address: | 10234 N 7th Ave Phoenix |
State: | AZ US |
Postal Code: | 850212423 |
Phone Number: | 6023710767 |
Fax Number: | 6029442871 |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 881616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |